NPI | 1790034387 |
---|---|
Former Name | ESTHER M SHANOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.009777) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009777) |
Enumeration Date | 2012-08-29 |
Last Update Date | 2018-10-09 |